“ Instead of having to look forward to the torture of incisions, manipulations, and stitching, with but small hope of surviving the exhausting suppuration and blood-poisoning which were such common results, the patient now knows that he will inhale a little sweet vapour, and sleep unconscious of the strokes of the surgeon's knife or the pricks of his needle. He may dream wondrous dreams, but he will soon awake to find himself in his bed staring at the trained nurse standing by his side, and wondering vaguely why the operation has not begun. ”

“ Let us now glance at the germ called the tubercle bacillus, the germ which induces and which alone can induce tuberculosis. It does not exist and thrive in the body of men or animals in health. Without the entrance of this particular germ into the human body from without, tuberculosis cannot develop in it. Without the transmission of this germ in some way or other in a living condition from the sick to the well, tuberculosis cannot spread. In the life-story of this tiny germ lie both the potency for mischief which we deplore and the secret of our release from its bondage. ”

“ Euthanasia is the sequel of health, the happy death engrafted on the perfect life.
When the physician has taught the world how this benign process of Nature may be secured, and the world has accepted the lesson, death itself will be practically banished ”

“ The great and beneficent work which has been accomplished by Trudeau in the Adirondack woods, in at once widening the bounds of knowledge of tuberculosis and in carrying to a successful issue in so many the varied and delicate processes of cure, is a cheering example of what may be accomplished with persistent devotion, by the light of our new knowledge, in mastering a malady so long considered hopeless. ”

“ Thus the old Greeks, fathers of true mirth, who looked upon prolonged grief as an offence, and attached the word madness to melancholy,—even they were so far imbued with sorrow when the child or the youth died, that they bore the lifeless body to the pyre in the break of the morning, lest the sun should behold so sad a sight as the young dead ”

“ When we remember that sound health is the foundation of every other good, of all work fruitful and enjoyed, we see that in this field new knowledge and new skill have won their most telling victories. Pain, long deemed as inevitable as winter's cold, has vanished at the chemist's bidding: the study of minutest life is resulting in measures which promise to rid the world of consumption itself. ”

“ What has been all through these years regarded as the strongest proof of the hereditary transmission of tuberculosis—namely, the occurrence of the disease in several members of the same household—is, in the new light, simply the result of household infection—the breathing of air especially liable to contain the noxious germs, or their entrance in some other way into the bodies of persons especially sensitive to their presence. I do not mean to imply that under no conditions can the tubercle bacillus be transmitted from the mother to the child before its birth. ”

“ It is no longer for us the hopeless malady which it was earlier believed to be. It is not necessarily a bitter losing fight upon which one enters who becomes aware that the finger of this disease is upon him. A long and happy and useful life may still be his if the conditions which favour his cure be early and intelligently fixed upon, and patiently and faithfully persisted in. ”

“ Not a few old persons are found on inquiry to take credit to themselves for their own condition, and to attribute it to some remarkable peculiarity in their habits or mode of life. It is said that Lord Mansfield, who reached the age of eighty-nine, was wont to inquire into the habits of life of all aged witnesses who appeared before him, and that only in one habit, namely, that of early rising, was there any general concurrence. Health is doubtless often promoted by early rising, but the habit is not necessarily conducive to longevity. ”

“ If we seek historical evidence, and from it attempt to discover the extreme limit of human life, we are puzzled at the differences in the ages said to have been attained. The longevity of the antediluvian patriarchs when contrasted with our modern experience seems incredible. When we look at an individual, say ninety years of age, taking even the most favourable specimen, a prolongation of life to ten times that number of years would appear too absurd even to dream about. ”

“ No name stands, or will ever stand, out more brilliant among the benefactors of mankind than that of Edward Jenner, by whose genius and labours untold multitudes of human lives have been saved, and an incalculable amount of human suffering and misery prevented. ”

“ All was soon forgotten, and the clue to the discovery, which would have been far easier with ether than with nitrous oxide, for it needed no apparatus and even required mixture with air, was again lost. One could have wished that the honour of bringing so great a boon to men, and so great a help in the pursuit of knowledge, had been won by some of those who were giving themselves with careful cultivation to the search for truth as for its own sake. ”

“ But a full and careful review of the whole history of small-pox since the introduction of vaccination, proves to every unprejudiced mind that every recurring epidemic finds its victims, with comparatively few exceptions, among the unvaccinated, that its spread is arrested by renewed attention to vaccination and its vigorous enforcement, and that, even taking into account the countries and localities where from various causes it has been neglected, the mortality from this foul and fatal disease, small-pox, has been enormously reduced. ”

“ We call the force that resists the earth Vital. We say it resists death; we speak of it as stronger in the young than in the old; but we know nothing more of it really, from a physical point of view, than that while it exists it opposes terrestrial weight sufficiently to enable the body to move with freedom on the surface of the earth. ”

“ The cycle of life completed, the living being sleeps into death when Nature has her way.
This purely painless process, this descent by [Pg 138] oblivious trance into oblivion, this natural physical death, is the true Euthanasia; and it is the duty of those we call physicians to secure for man such good health as shall bear him in activity and happiness onward in his course to this goal. For Euthanasia, though it be open to every one born of every race, is not to be had by any save through obedience to those laws which it is the mission of the physician to learn, to teach, and to enforce. ”

“ Unswerving in her great purpose for the universal good, Nature has imposed on the world of life her storms, earthquakes, lightnings, and all those sublime manifestations of her supreme power which, in the infant days of the universe, cowed the boldest and implanted in the human heart fears and superstitions which in hereditary progression have passed down even to the present generations. ”

“ This is not a theoretic matter only, for again and again have the living and virulent germs been found clinging to the walls and furniture and bedding and handkerchiefs of consumptive persons, and in the dust of the rooms in which they dwell. A malady whose victims far outnumber those of all other infectious diseases put together, sparing neither rich nor poor, seizing upon life while it is as yet only a promise, but most inexorable in the fulness of its tide—this malady can be largely prevented by the universal and persistent practice of intelligent cleanliness. ”

“ Subjected at birth to what would be, in the after-conscious state, an ordeal to which the most cruel of deaths were not possibly more severe, he sleeps through the process, and only upon the subsequent awakening feels the impressions, painful or pleasant, of the world into which he is delivered. In this instance the perfect law is fulfilled because the carrying of it out is retained by Nature herself: human free-will and the caprice that springs from it have no influence. ”

“ Whether the body at one time affords a congenial soil to the invading germs and at another does not, whether its marvelous and complex powers of resisting the virulent tendencies of disease-producing bacteria at one period or in one individual are more vigorous than in another, and vary at different times, we do not certainly know. This, however, we do know, that certain individuals are more likely than others to yield to the incursions of the tubercle bacillus. ”

“ There is no doubt that the average duration of human life is capable of very great extension, and that the same causes which serve to prolong life materially contribute toward the happiness of mankind. ”

“ The tanner's son becomes the specialist in fermentation; the country boy is never throughout his life beyond hail of the poultry-yard and the farm-steading, the wine press and the silk nursery; brought up in the rural French atmosphere of careful thrift and minute economies, all centred not round the mechanism or exchange of town industries, but round the actual maintenance of human and organic life, he becomes a great life-saver in his generation. ”

“ The history of the discovery of methods for the prevention of pain in surgical operations deserves to be considered by all who study either the means by which knowledge is advanced or the lives of those by whom beneficial discoveries are made. And this history may best be traced in the events which led to and followed the use of nitrous oxide gas, of sulphuric ether, and of chloroform as anæsthetics—that is, as means by which complete insensibility may be safely produced and so long maintained that a surgical operation, of whatever severity and however prolonged, may be absolutely painless. ”

“ The evidence as to the increased powers of medicine to give relief from suffering and to prolong life is most clear and direct in the records of modern surgery—particularly in some of its special branches. In a large proportion of certain cases in which the surgeon now operates with a fair chance of success, such as calculus in the kidney or gall-bladder, shot-wounds of the abdomen, and tumours of various kinds, there was no hope in the year 1800, and the unhappy sufferer could only expect a certain, though often a lingering and painful, death. ”

“ In order to prolong life and at the same time to enjoy it, occupation of some kind is absolutely necessary; it is a great mistake to suppose that idleness is conducive to longevity. It is at all times better to wear out than to rust out, and the latter process is apt to be speedily accomplished. Every one must have met with individuals who, while fully occupied till sixty or even seventy years of age, remained hale and strong, but aged with marvelous rapidity after relinquishing work, a change in their mental condition becoming especially prominent. ”

“ Marriage would appear to be conducive to longevity. A well-known French savant, Dr. Bertillon, states that a bachelor of twenty-five is not a better life than a married man of forty-five, and he attributes the difference in favour of married people to the fact that they take more care of themselves, and lead more regular lives than those who have no such tie. It must, however, be remembered that the mere fact of marrying indicates superior vitality and vigour, and the ranks of the unmarried are largely filled by the physically unfit. ”

“ But apart from the question of identity or diversity of small-pox and vaccinia, Pasteur's researches prove beyond all question that a disease virus may be both diminished and augmented in power by physiological devices, and that therefore the efficacy of the vaccine lymph may, in various ways, be so diminished as to lose its protective power, without shaking our faith in the principle of vaccination or detracting in the least from the inestimable value of Jenner's discovery. ”

“ Our successors, when they have remedied or prevented them, will look back on them with horror, and on us with wonder and contempt for what they will call our idleness or blindness or indifference to suffering. ”

“ No one who has had opportunities of studying old people can shut his eyes to the fact that many of the incapabilities of age may be prevented by attention to a few simple rules, the observance of [Pg 135] which will not only prolong life and make it happier and more comfortable, but will reduce to a minimum the period of decrepitude. Old age may be an incurable disease, admitting of but one termination, but the manner of that end, and the condition which precedes it, are, though not altogether, certainly to a very great extent, within our own power. ”